Adravyabhuta Chikitsa Non-pharmacological Therapies In Ayurveda

By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Adravyabhuta Chikitsa contains all these remedies whereby no drug or pharmacological strategy is concerned. A = no, Dravyabhuta = drug / pharmacological dependent, Chikitsa = therapy. So, adravyabhuta chikitsa means ‘non-drug or non-pharmacological remedies / remedy’. These remedies could also be in several types –

• Bodily actions
• Psychological / psychological actions
• Religious actions
• Non secular actions and so on

Adravyabhuta Chikitsa is complementing remedy in some illnesses however may also be a mainstay strategy or part of it in some situations. Instance – Other than medicines and dietetic regimens, historic treatises have advocated and likewise emphasised fixed indulgence in bodily actions and workout routines, as in santarpanottha rogas i.e. illnesses precipitated because of over-nutrition like in prameha (diabetes), sthaulya (weight problems) and so on.
Learn – Chikitsa: Remedy Sorts, Ayurvedic classification

Can we deal with the illnesses with out medicines?

Completely sure. It’s stated that something – a cloth or non-material is skillfully chosen, can be utilized to deal with the illnesses and something which might accomplish that would fall underneath the purview of an efficient remedy / therapy.

It’s not that each one that’s ‘non pharmacological’ can deal with ‘all illnesses’. It’s selective and contains ability and expertise to implement the identical in remedy. Some ‘non-drugs’ can remedy some illnesses for which they’re designed and so they will not be appropriate to deal with the opposite illnesses or to deal with the identical illness in another individual. So, adravyabhuta chikitsa can be a ‘personalised drugs’, like ‘what fits you doesn’t go well with me!’.

How does it work?

How does one thing which is a non-drug could be thought of as a remedy?

As per the definition of medication, something which brings concerning the stability (samyavastha) of the dhatus needs to be thought of as chikitsa i.e. therapy or remedy. If one thing which isn’t a drugs can obtain this goal, we are able to positively name it a drugs.

Substances of complete therapy – In each illness, when the therapy procedures are defined, Ayurveda has all the time comprehensively centered on proper kind of aushadha i.e. medicines, ahara (weight loss plan) and viharas (way of life/conduct). Viharas are non-pharmacological interventions. Amongst synonyms of medication – Pathya (that which is healthful for the channels of transportation within the physique), Prayaschitta (atonement) and Hita (useful) are the synonyms of bheshaja (drugs). All these are non-drug types which outline therapy. These synonyms spotlight the significance of non-pharmacological remedy. Pathya additionally contains weight loss plan rules that are within the type of substance, however these that are formless and serve the aim of pathya shall be included on this dialogue.
Learn – Significance Of Food plan (Pathya) For Particular Ailments

The physicians ought to discover this technique of therapy since it is usually cost-effective and really vital many instances. Adravyabhoota and Dravyabhuta Chikitsa shall be skillfully mixed in order to obtain most advantages in healing and preventive features of the therapy. It may be used alone or together in therapy of each bodily and psychological issues and thus would cowl a broad spectrum. Meditation, Yoga and Marma therapies additionally fall underneath the umbrella of adravyabhuta chikitsa.
Learn – Well being Advantages Of Yoga: Thoughts And Physique

Likewise the energies derived from Solar, Water and Air and different parts of nature had been used for therapeutic functions within the historic days. The forces of nature had been additionally thought of as Gods and had been worshipped. Rituals like hearth sacrifices, oblations and so on had been additionally performed for creating therapeutic impression. They’re adopted even in the present day. They may also be included in daivavyapashraya chikitsa i.e. divine therapies however being non-medicinal are included in adravyabhuta chikitsa. Adravyabhuta Chikitsa in Nija Rogas (somatic illnesses) – As already stated, these therapies are additionally included within the therapy of somatic issues, as in psychological issues. These therapies are talked about in each yuktivyapashraya chikitsa (rational remedy) and likewise daivavyapashraya chikitsa (divine therapies)
Learn – Daiva Vyapashraya Chikitsa – Divine Therapies of Ayurveda

For psychological issues

Adravyabhuta Chikitsa in Manasika Rogas (psychological issues) – Grasp Charaka has suggested the under talked about to be adopted within the therapy of psychological remedy –

1. Gyana – non secular information
2. Vijyana – scriptural information
3. Dhairya – nurturing endurance
4. Smriti – evoking reminiscence
5. Samadhi – meditation

All these fall within the territory of adravyabhuta chikitsa. It’s administered utilizing measures (upaya) that are formless (amurta) which incorporates the under talked about strategies –

• creating terror or worry (bhaya darshana)
• stunning / stunning (vismapana)
• making one to neglect (vismarana)
• inflicting agitation (kshobhana) or exhilaration (harshana)
• threatening to kill (vadha)
• tying up an individual (bandhana)
• inducing sleep (swapna)
• light therapeutic massage / touching (samvahana) and so on

These measures are defined within the context of chapter coping with therapy of unmada (psychoses) and apasmara (reminiscence issues).

Adravyabhuta Chikitsa and Trividha Chikitsa

Trividha chikitsa i.e. threefold remedies are fashionable methods utilized in Ayurveda to comprehensively deal with many bodily, psychological or psychosomatic issues. They’re –

1. Daivavyapashraya Chikitsa – non secular therapies
2. Yuktivyapashraya Chikitsa – rational therapies (together with remedies, medicines, dietetic regime)
3. Sattvavajaya Chikitsa – psychotherapy

Amongst these three codecs of therapy, divine therapies and psychotherapy are formless remedies and don’t use any substance for the aim of therapy. Subsequently most measures included in daivavyapashraya and sattvavajaya chikitsa fall underneath adravyabhuta chikitsa.
Learn – Psychological And Religious Advantages Of Fasting

Adravyabhuta Chikitsa and Chaturvidha Chikitsa

Grasp Sushruta has talked about 4 sorts of remedies, adopted to comprehensively deal with the illnesses. They’re samshodhana – cleaning therapies, samshamana – palliative remedies, ahara –weight loss plan and achara – conduct and way of life modifications. Amongst these, achara shall be included in adravyabhuta chikitsa. Alternatively we are able to inform that many measures of adravyabhuta chikitsa fall underneath the umbrella of achara.
Learn – Achara Rasayana – Behavioral Remedy For Calm Thoughts And Lengthy Life

Adravyabhuta Chikitsa and a few types of Shamana

Shamana means palliative remedies remedies. The under talked about shamana measures shall be thought of as adravyabhoota chikitsa since no substance is utilized in these types of therapy –

• Kshudha (nigraha) – controlling or pacifying the starvation (fasting)
• Trshna (nigraha) – controlling or pacifying thirst
• Vyayama – getting indulged in train
• Atapa – publicity to warmth of the solar
• Maruta – publicity to the wind
  Learn – How To Do Fasting? A Step By Step Information For You

Adravyabhuta Chikitsa and Upashaya

Upashaya is like shamana. It’s administered with a hope of pacifying a illness, if it does, it’s continued and the identical upashaya turns into chikitsa i.e. therapy for that illness. If it doesn’t, the doctor would search for another strategy. If it aggravates the illness, it’s thought of as anupashaya and the measure is discontinued. Upashaya is considered when a illness isn’t correctly identified or when there are numerous illnesses and it’s troublesome to make an correct prognosis. In a means upashaya works on the logics of ‘trial and error technique’. It’s one among the many 5 diagnostic instruments nidana panchaka.

18 kinds of upashaya have been defined in Ayurveda treatises. Three kinds of strategies are used within the context of upashaya i.e. aushadha – drugs, ahara – meals and vihara – actions. They might be both much like or antagonistic to the reason for the illness, illness or each. The permutations and mixtures make up for 18 kinds of upashaya.

Amongst these viharaja upashayas associated to actions shall be thought of underneath adravyabhuta chikitsa. They’re –

• Hetu viparita vihara – actions antagonistic to the causative elements
• Vyadhi viparita vihara – actions antagonistic to the illness
• Hetu-Vyadhi viparita vihara – actions antagonistic to each trigger and the illness
• Hetu viparitarthakari vihara – actions much like the causative elements
• Vyadhi viparitarthakaria vihara – actions much like the illness
• Hetu-Vyadhi viparitarthakari vihara – actions much like each trigger and the illness

Learn – Upashaya Anupashaya – Pacifying And Non-Pacifying Elements Of Illness

Gist of Non-pharmacological Therapies extracted from Ayurveda classics

Adharaniya Vegas – Ayurveda enlists 13 physique reflexes which shouldn’t be forcibly withheld when the physique is making an attempt to precise them. If they’re suppressed they are going to result in many illnesses. If they don’t seem to be suppressed they might contribute in direction of complete well being. Under talked about are these urges which shouldn’t be suppressed forcibly –

• Vata – fart and belch
• Vit – feces
• Mutra – urine
• Kshavathu – sneeze
• Trt – thirst
• Kshudha – starvation
• Nidra – sleep
• Kasa – cough
• Shrama shvasa – exertion dyspnea
• Jrmbha – yawning
• Ashru – tears
• Chardi – vomiting
• Retas – ejaculation

Right here no drugs or substance is used for upkeep of well being. However it’s suggested to not withhold these naturally manifesting urges.
Learn – Do Not Suppress Physique Urges: Charak Samhita Sutrasthana seventh chapter

Dharaniya Vegas

Equally there are some urges which needs to be managed and withheld. They’re primarily the psychological expressions / feelings. They’re –

Dinacharya / Rtucharyokta Vihara

Bodily actions suggested to be practiced on day by day foundation within the context of dinacharya i.e. day by day routine like strolling, train, waking up early within the morning and so on shall be thought of as non-pharmacological therapies. Likewise the actions suggested to be performed or practiced throughout each season within the context of rtucharya i.e. seasonal routine additionally must be thought of.

Different inclusions

Nidana Parivarjana – conserving away from the etiological elements (causative elements of a illness) Sadvrtta – observance of fine conducts and noble deeds
Achara Rasayana – all these acts and deeds which might bestow the advantages of rasayana (rejuvenators, immune modulators, anti-ageing medicines)
Langhana – all kinds of lightening therapies besides shodhana – cleaning therapies,  deepana – digestive hearth kindling medicines and therapies, and pachana – ama digesting medicines / therapies
Niragni sweda – all 10 sorts of sudation therapies whereby the contact of fireplace or warmth generated from the fireplace are usually not used
Vyyama – train – helps in making the physique agency, secure and robust, will increase endurance – aside from many different advantages
Nidra – sleep – is alleged to be one of many upastambha i.e. supporting pillar for upkeep of well being in a complete means, is therapeutic in emaciation sufferers
Brahmacharya – celibacy – is yet one more upastambha i.e. supporting pillar for upkeep of well being in a complete means, helps in having stability of wholesome semen and sperms in males, it bestows longevity and can be thought of as an essential pathway for salvation
Sankalpa – dedication or resolution to get indulged in intercourse is alleged to be the perfect aphrodisiac Vajikarana Viharas – some actions, regimens and conducts are talked about to have aphrodisiac impact within the chapter of Vajikarana
Vidya – information / knowledge is alleged to be the perfect among the many brmhana – bulk promoter / promotes bodily and psychological nourishment
Vata, Pitta, Kapha hara Viharas – regimens / actions to stability / pacify vata, pitta and kapha Harsha – exhilaration is the basis of cheer or delight
Prashama – tranquility is alleged to be the perfect among the many pathyas i.e. healthful regimes – these useful and conducive for the channels of the physique
Tattva Avabodha – understanding the fundamentals, reality and actuality is alleged to be the perfect among the many Harshana – these which promote happiness / bliss
Indriyajaya – management over one’s senses / self management is the perfect amongst these which promote delightfulness
Nivrutti – means freedom (from liabilities), that is thought of to be the perfect amongst these which induce / bestow nourishment of the physique
Vayu – recent air is alleged to be the perfect amongst these which give very important power – prana
Dhee, Dhairya, Atmadi Vijnanam – These are the threefold remedies most well-liked and extremely advocated as the primary line of strategy in direction of dealing with psychological issues. That is the idea of psychotherapy in Ayurveda. Dhee means selling the mind of the individual, dhairya means putting in braveness within the minds of the affected person and atmadi vijnana contains making the individual to know the idea of self-worth and offering counseling. These measures are used within the fashionable psychiatry additionally.
Learn – Counselling – Sorts, Advantages, Myths And Information

Examples of Adravyabhuta Chikitsa

Additionally,

The under talked about measures (non-pharmocological) are thought of to be upayantras i.e. accent devices and therefore helpful within the therapy of illnesses –

• Harsha – exhilaration
• Pravahana – straining for evacuation
• Kala – time issue
• Bhaya – worry

The under talked about non-drug therapies shall even be included in adravyabhuta chikitsa –

Abstract

Adravyabhuta Chikitsa don’t comprise of any herbs, medicines, meals or substances to deal with the illnesses. Being non-pharmacological therapies they do have an effect (optimistic impression) on the physique elements and their features. A few of them have their therapeutic impression on the physique and thoughts. A few of these non-drug therapies assist in stopping illnesses, some in upkeep and stability of well being and lots of others in curing the illnesses – at bodily, psychological or each ranges.

At bodily degree they assist in upkeep of bodily well being and likewise to take care of dhatu samya i.e. stability of physique tissues. They assist in balancing the physique doshas and thus preserve all of the features in a state of stability. Instance – train, sleep, and fasting, not withholding physique’s pure urges and so on. These non-drug therapies that are primarily carried out for upkeep of psychological well being helps in enhancing the sattva attribute of the thoughts and stability imbalanced rajas and tamas attributes on the similar time. This helps in prevention and remedy of varied psychological issues and illnesses. Instance – psychotherapy, counseling, exhilaration, encouragement, meditation, pleasant firms and so on.

The imbalance of bodily doshas and psychological doshas might impression one another in the end of time. Subsequently the non-pharmacological measures used at bodily degree would assist in psychological stability and treating psychological issues and vice versa. The non-pharmacological therapies together with non secular actions and divine therapies primarily act on the idea of prabhava – particular impact which can’t be defined logically. These actions additionally improve and promote sattva attribute of the individual. It’s also believed that these therapies have an effect on the cosmic rays of various planets (graha) and thus is believed to please the exogenous forces.

From illness and their therapy perspective – Even in keeping with the trendy analysis, train helps in controlling the blood glucose ranges and likewise improves insulin sensitivity. It helps in stopping the related issues akin to cardiovascular harm. Ayurveda too has given significance to the inclusion of train in lots of metabolic illnesses together with prameha / madhumeha vis-à-vis diabetes mellitus. In a examine it was discovered that varied kinds of workout routines viz cardio, resistance, Yoga, endurance kind and so on confirmed useful impact in T2DM (Srijit Das et al).

By all these we are able to see that adravyabhuta chikitsa are essential a part of the Ayurveda therapy protocol, be it in case of psychological issues or bodily issues or psychosomatic issues. Most of those measures are additionally adopted within the fashionable period, some owing to the practices which have descended by means of the timeline of evolution and a few after having been proved by means of scientific exams and analysis works (although many of those haven’t gone underneath the hammer of scientific exams and have been discarded as absurd and ineffective). In most of them the religion or belief is the working issue and lots of are stated to work on the idea of particular impact for which no scientific precept or foundation has been explored. However what’s essential is that any therapy with or with out kind ought to present remedy or assist in stopping the illnesses or in upkeep of well being. An excellent and skillful mixture of dravyabhuta (remedies whereby supplies like medicines, weight loss plan and so on are used) and adravyabhuta (non-drug) chikitsa is the easiest way in direction of comprehensively coping with many illnesses in scientific follow. When performed so, the primary goal of therapy i.e. dhatusamya will be positively achieved to a fantastic extent.
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